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[Olfaction dysfunction].
J A Sacre Hazouri1, T Davidson, A Jalowayski
1División de Inmunología Pediátrica y Alergia, Universidad de California, San Diego, USA.
Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993)
|July 11, 2000
Summary
Mechanical obstruction from chronic sinusitis and nasal polyposis are the leading causes of olfactory dysfunction. These conditions significantly impair smell identification and threshold in patients, impacting their quality of life.
Area of Science:
- Otolaryngology
- Neurology
Context:
- Olfactory dysfunction significantly impacts patient quality of life.
- A systematic approach to understanding smell disorders is crucial.
Purpose:
- To present findings on the physiopathology, diagnosis, and treatment of olfactory dysfunction.
- To detail the results of a comprehensive evaluation of patients with smell alterations.
Summary:
- 58 patients with olfactory or pleasure alterations underwent evaluation including questionnaires, scent identification tests, rhinomanometry, nasal endoscopy, and imaging.
- Mechanical obstruction due to chronic sinusitis and nasal polyposis were the most common causes (48%), often leading to severe hyponia.
- Other causes included postviral (20%), posttraumatic (12.1%), and idiopathic (3.4%) factors.
Impact:
- Highlights the prevalence of inflammatory conditions as primary drivers of smell loss.
- Provides insights into the diagnostic utility of various clinical and radiological tools.
- Emphasizes the need for targeted treatments for inflammatory and obstructive causes of olfactory dysfunction.